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CMD Studies with Coronary Angiograms - Cath Lab.

Date: Oct 11, 2023

Question:

Can you please advise if there are any billable CPT codes for CMD studies performed in the cath lab at the same time as coronary angiograms and FFR, with codes 93454 and 93571. Our provider is performing these and is asking for additional billable codes for the CMD studies.

Procedures performed: Right/Left coronary angiography. CMD Study Values. Pressure flow reserve measurement.

6F FR4 catheter was placed. Selective right coronary angiography. Contrast was injected. Images were obtained using multiple projections. Selective left coronary angiography. A 6F JL4 catheter was introduced. Contrast was injected. Images were obtained using multiple projections. Successful CMD Study Values for the LAD Mid was performed. A CMD study was performed and data was obtained. The study was Positive and the results were: RFR = 0.92, CFR = 1.3, IMR = 81, AND FFR = 0.99. Pressure derived flow reserve measurement for the mid LAD. Flow reserve was measured using a 175 CM PRESSURE WIRE X pressure-monitoring guide-wire. The flow reserve was calculated to be 0.92.

Question ID : 19483
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